Wrigleyville Eye Ctr Ltd
Optometrist in Chicago, IL. Organization (NPI-2).
NPI number1730617606
StatusActive
Last updated in NPPESMay 23, 2017
Details
- NPI
- 1730617606
- Entity type
- Organization (NPI-2)
- Legal business name
- Wrigleyville Eye Ctr Ltd
- Organization subpart
- No
- Enumeration date
- May 23, 2017
- Last updated
- May 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Eyecare Of Wrigleyville (Doing Business As)
Practice location
2000 W Addison StChicago, IL 60618-6102
Phone 773-528-3790 · Fax 773-528-9878
Mailing address
2000 W Addison StChicago, IL 60618-6102
Phone 773-528-3790 · Fax 773-529-9878
Other practice locations
2000 W Addison St
Chicago, IL 60618-6102
Chicago, IL 60618-6102
Phone 773-528-3790 · Fax 773-528-9878
Authorized official
Thomas W. Goska
President
7735283790
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